| Dr Cynthia Petrus Bimle, MD | |
|
107 Contempo, Suite A, West Monroe, LA 71291 | |
| (318) 388-5030 | |
| Not Available |
| Full Name | Dr Cynthia Petrus Bimle |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 107 Contempo, West Monroe, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578573630 | NPI | - | NPPES |
| 1697117 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 12124R (Louisiana) | Primary |
| Entity Name | Ward 3 4 & 10 Hospital Service District Of Parish Of Union |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124277728 PECOS PAC ID: 8123011137 Enrollment ID: O20040406000625 |
| Entity Name | Green Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831178755 PECOS PAC ID: 4789668831 Enrollment ID: O20040616000177 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cynthia Petrus Bimle, MD 107 Contempo, Suite A, West Monroe, LA 71291 Ph: (318) 388-5030 | Dr Cynthia Petrus Bimle, MD 107 Contempo, Suite A, West Monroe, LA 71291 Ph: (318) 388-5030 |
Marilyn Grisham Bivens, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 104 Contempo Ave, West Monroe, LA 71291 Phone: 318-329-8181 Fax: 318-329-8183 | |
Terry Dean King, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Pavilion Rd, West Monroe, LA 71292 Phone: 318-323-1100 Fax: 318-323-1161 | |
Mrs. Shelly C Mccormick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 503 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-329-8310 Fax: 318-329-8313 | |
Kadie Bimle Frost, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 107 Contempo Ave., Suite 2, West Monroe, LA 71291 Phone: 318-324-0111 Fax: 318-324-9679 | |
Brandon Lane Phillips, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pavilion Rd, West Monroe, LA 71292 Phone: 318-323-1100 | |
Lyndall Saadat, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 102 Thomas Rd, West Monroe, LA 71291 Phone: 318-812-0168 Fax: 318-812-0170 |